Endoscopic clips prevent displacement of intestinal feeding tubes: a long-term follow-up study

Dig Dis Sci. 2010 Feb;55(2):371-4. doi: 10.1007/s10620-009-0726-3. Epub 2009 Feb 26.

Abstract

Background: Displacement of jejunal feeding tubes is a major problem in enteral feeding. Although endoscopic clips have been used to prevent migration of the tube during placement, the long-term effect of the clips on tube displacement is unknown.

Objectives: The purpose of this study was to examine the long-term effect of endoscopic clips on preventing displacement of the jejunal feeding tube.

Design: A retrospective study.

Setting: A single tertiary medical center.

Main outcome measurements: The success rate of the procedure and the functional duration of the feeding tube.

Results: About 93% of patients had a percutaneous endoscopic gastrostomy jejunal (PEGJ) tube successfully placed with use of endoscopic clips. About 7% had tube migration and repeat procedures were successful. The mean functional duration of the tube was 55 days. Limitations Retrospective, single-center.

Conclusions: Use of endoscopic clips can prevent migration during placement of the feeding tube and can also reduce tube displacement in the long term.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Endoscopy, Gastrointestinal / methods*
  • Enteral Nutrition / instrumentation*
  • Equipment Design
  • Female
  • Follow-Up Studies
  • Foreign-Body Migration / prevention & control*
  • Gastrostomy / methods*
  • Humans
  • Male
  • Middle Aged
  • Retrospective Studies
  • Suture Techniques / instrumentation*
  • Time Factors
  • Treatment Outcome